Methods |
Parallel‐group design Concealed randomisation of participants to groups by using an Excel spreadsheet with group allocation masked using black cells 15% drop outs at the end of the treatment phase and 15% drop outs at the end of the 2‐week follow‐up Blinding of outcome assessors to group allocation |
Participants |
11 participants in the EXP group and 12 participants in the CTL group Inclusion criteria: at least 6 months post stroke; hemiplegia secondary to documented lesion; able to walk independently or with stand‐by supervision (with or without a gait aid); asymmetric gait pattern and short step length; 'average' or 'minimal impairment' in all Cognistat test categories; informed consent Exclusion criteria: any medical condition that would prevent participation in a training programme; inability to follow instructions |
Interventions |
Treated as outpatients for 6 x 1‐hour sessions per week for 2 weeks Virtual reality and treadmill training (EXP): participants practiced stepping over virtual objects while walking on a treadmill, with a harness to prevent falls (each session consisted of 12 trials of stepping over 10 obstacles) Overground training (CTL): participants practiced stepping over real objects while walking overground, with a gait belt for safety (each session consisted of 12 trials of stepping over 10 obstacles; task‐oriented) |
Outcomes |
Assessed at baseline, after treatment phase and 2 weeks later:
independent preferred walking speed over 6 m with or without a gait aid (supervision, but not personal assistance, was provided)
independent fast walking speed over 6 m with or without a gait aid (supervision, but not personal assistance, was provided)
walking endurance ‐ maximum distance walked in 6 minutes with or without a gait aid (supervision, but not personal assistance, was provided)
spatial and temporal gait variables
ability to clear obstacles
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Notes |
Rating of concealed allocation, assessor blinding and drop outs, and the allocation concealment classification were changed based on correspondence from the trialist |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
High risk |
Method not described |
Allocation concealment (selection bias) |
Unclear risk |
Unclear concealed randomisation |
Blinding of outcome assessment (detection bias) All outcomes |
Low risk |
Blinding of outcome assessors to group allocation |